Provider Demographics
NPI:1386201168
Name:GRATA, ALLYSSA K (PT, DPT)
Entity Type:Individual
Prefix:MRS
First Name:ALLYSSA
Middle Name:K
Last Name:GRATA
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 N KEEL RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:HERMITAGE
Mailing Address - State:PA
Mailing Address - Zip Code:16148-3440
Mailing Address - Country:US
Mailing Address - Phone:724-982-4266
Mailing Address - Fax:724-982-4399
Practice Address - Street 1:100 N KEEL RIDGE RD
Practice Address - Street 2:
Practice Address - City:HERMITAGE
Practice Address - State:PA
Practice Address - Zip Code:16148-3440
Practice Address - Country:US
Practice Address - Phone:724-982-4266
Practice Address - Fax:724-982-4399
Is Sole Proprietor?:No
Enumeration Date:2019-05-28
Last Update Date:2019-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist